I swapped engines in a few GM 4x4's without pulling the tranny,and it wasn't a lot of fun sitting on a wood plank laid across the fenders,struggling to get at the bell housing bolts..
That truck had a one piece floor,no tunnel you could unbolt..
My hands looked like I stuck them in a chipper by the time that swap was over..
My '77 GMC 4x4 had a 3" body lift--that one was much easier,I was able to couple 2 extra long extensions to my ratchet and sit behind the transfer case and unscrew the bell bolts much easier..I think that truck had a removeable tunnel,but I didn't take it off,didn't have to..
The last truck I pulled the engine out of ,I decided to drop the transfer case first,and pull the engine & tranny out together as a unit..I felt that way was the easiest...
If I had to pull another engine out,I probably wouldn't--I'd pay someone else to do it,its not worth the level of pain I'd be in trying to attempt it alone any more..either that or I'd have someone help me take the nose off the truck,its much easier once the nose is out of the way..